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General NPI Number Information
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NPI Number | 1942882303
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Entity Type | Organization
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Legal Business Name | GREAT BEHAVIORAL SERVICES CORP
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 935 SW 87TH AVE STE A
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City | MIAMI
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State | FL
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Zip | 33174-3206
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Country | US
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Telephone | 305-345-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 935 SW 87TH AVE STE A
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City | MIAMI
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State | FL
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Zip | 33174-3206
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Country | US
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Telephone | 305-345-4898
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LOURDES MORALES DENIS
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Credential | SOCIAL WORKER BA
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Telephone | 305-345-4898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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